Open to opportunities

Ammar Yahya User

@ammaryahyauser

Revenue Cycle Management Manager at Revenue Health Alliance, recovering 90% of aging and denied claims across US healthcare practices.

Pakistan

Message

At Revenue Health Alliance, I lead end-to-end revenue cycle operations and AR recovery workflows for multi-specialty medical practices, maintaining a 90% average payment recovery rate on aging and denied claims.

I analyze claim rejections and denials, helping reduce recurring denials by 25% and raise first-pass clean claim rates to 96%+. I also prepare appeals with clinical justification and medical chart notes, and resolve underpayments through EOB and ERA audits.

Previously, at Physician Revenue Group (PRG), I supervised a team of 10+ billing and AR specialists and reduced accounts receivable over 90 days by 35%. My B. Pharmacy background supports medical documentation review, while my M.Phil. in English Linguistics informs persuasive insurance appeals and payer communications.

Experience

Work history, roles, and key accomplishments

Current

Revenue Cycle Management (RCM) Manager

Current

Revenue Health Alliance

Jan 2026 - Present (9 months)

Lead end-to-end RCM operations and AR recovery workflows across multi-specialty medical practices, maintaining an average 90% payment recovery rate on aging and denied claims. Conduct root-cause analysis on claim rejections and denials, formulate and submit first- and second-level insurance appeals, and oversee Hospital Billing and Professional Billing operations.

Billing Supervisor

Physician Revenue Group (PRG)

Jan 2022 - Jan 2026 (4 years)

Supervised a team of 10+ billing and AR specialists processing CMS-1500 and UB-04 claims across Medicare, Medicaid, Managed Care, and Commercial insurance carriers. Reduced aging Accounts Receivable (>90 days) by 35% by instituting structured follow-up protocols and prioritized high-dollar claim recovery.

Medical Billing Accounts Receivable Denial Management CMS 1500 UB 04 Medicare Medicaid Managed Care Commercial Payers Eligibility Verification Prior Authorizations Trizetto Office Ally Payment Posting Coordination Of Benefits LCDs NCDs Excel

Collection Associate

Medicators Billing

Jan 2019 - Jan 2021 (2 years)

Executed daily AR follow-up on overdue and unpaid insurance claims across Medicare, Medicaid, and major commercial health plans. Verified patient insurance eligibility, posted insurance payments, and investigated and resolved clearinghouse and payer rejections within timely-filing deadlines.